Laserfiche WebLink
� '1 <br /> Sec.l3.0�1 RIGHTSOFSUBJECTSOFDATA .. i <br /> Subdivrsion!. Type ojdata The righ[s of indrvrdual on tivhorn the data rs stored or to be slored shall be as set jorlh rn this section. <br /> Subd.2. Injormation required to be given individuaL An individual asked to supply private or confrdential data concerning himselj <br /> shall be rnjormed of.� (aJ[he purpose and intended use of the requested data wrthin the collecting state agency,politica!subdivision,or stateivrde <br /> system;(bJ ivhether he may refuse or is legally required to supply the requested data;(c)any knotivn consequence arising from his supplying or <br /> refusing to s:ipply piivate or confidential data;and(d)the rdentrry ojother persons or entities authorr_ed by state orfederal law to receive the data. <br /> Thrs requirement shall not apply when an indivrdua!is asked to supply investigative data,pursuant to seelion 13.82, subdivision S, to a lmv <br /> enjorcement oJfrcer. <br /> The commissioner of revenue may place the notice requrred:ender this subdivrsion in the individual income tc�or propertv tax refund <br /> instructions instead ajon those jorms. <br /> Si�bd.3. Access to data by individual. Upon request to a responsible authorrty,an rndrvidual shal!be informed�vhether he is the subject <br /> ojstored data on indivrduals,and whe[her it rs classrfied as publrc,prrvate or confidential. Upon his firrther request,an individual ivho is the <br /> st�bject of stored prn•ate or publrc data on indivrduals shall be shoivn the data ivilhout any charge to him and, rf he desires,shall be informed oj <br /> the content and meaning of that data. After an indivrdua!has been shoivn the private data and injormed ojrts meanrng the data need not be <br /> disclosed to him for six months thereafter unless a dispute or action pursuant to this section rs pending or arlditional data on the indivrdi�al has <br /> been collected or crealed. The responsible authority shall provrde copies ojthe private or public data upon reqt�est by the individual subject of <br /> !he dafa. Tlre responsible authority may require!he requestrng person!o pay[he actua!costs of making, certifyrng,and compiling!he copies. <br /> The responsible authoriry sha[I comply immediately,ijpossible,with any request made pursuant to this subdivisron,or within jrve days <br /> ojthe date oJthe reguest,excluding Saturdays,Sundays and legal holidays,ijimmediate compliance is not possible. Ijhe cannot comply ivrth the <br /> request tivrthrn that trme,he shal!so rnform the individual,and may have an additronal frve days lvithin ivhich to comply ivith the request,excluding <br /> Sarurdays,Sundays and legal holidays. <br /> Subd.,t. Procedure when data is not accurate or complete. An individual may contest the acci�racy or compleleness ofpublic or prrvate <br /> data concernrng himself. To exercise this right, an individua!shal!no[ify in writing the responsib(e au(hority descrrbing the nature oj the <br /> drsagreement. The responsible authorrry shall wilhin 30 days erther: (aJ correct the dalafound to be inaccurale or incomplete and utlempt to notify <br /> past recipients of inaccurate or incomplete data,including recrpienrs named by the individual;or(b)not�the indrvrdual rhat he believes the data <br /> to be correct. Data rn dispute shal!be disclosed only if the indivrdua!'s s[atement of disagreement is included tivith the disclosed dala. <br /> The determination of the responsible authority may be appealed pursuant[o the provisions of the adminis(rative procedure act relating <br /> ro contested cases. <br /> DATA PRIVACYADVISORY <br /> b�accordance lvith M S.13.0�1,Subd.2, "Rights ojsubjects of dala",1ve tivou/d like to injormyou�hatyour requestfor apennit or/rcense <br /> from the Cih of Orono or any of its departments may require you�o furnish certain private or confrdential rnfonnation. <br /> Fou are notrfied that: <br /> /. The information you furnish ivrl!be used to determine your qualrfrcation for!he permit or Ircense requested. <br /> ?. You may refuse to supply data,but rejusa/may require that the City deny the permit or license. <br /> 3. The information may be shared ticrth other local,stale or jedera!agencies to the extent necessary!o process!he permi!or <br /> lrcense. . <br /> -1. /jyour requested permit or license requires Councrl action!o approve,some rnfonnatron may become public. <br /> .i. You have certain rights under��LS. 13.Od(see follotiving pageJ to revieiv private dala on yotrrse j <br /> 6. }�our full name is required!o process lhis applicatron or permit. <br /> PLEASE PRINT <br /> � /�<t�/,l��( ��� �.�y�� <br /> Frrst .tliddle Last <br /> GZ�! O ���'v-�/i.►/?/Z ��/t ' <br /> AJdress <br /> ��O°"`_.,. /2v�" S�7'z 1r . <br /> G <br /> City State Zip Phone <br /> 1 undersrand my.' hts as stated above. '�[S Z'� � �5 � 1��� <br /> � ��_ <br /> ��—� <br /> Signalure <br /> 10 <br />